Davis, Stacy Ann Marie

Davis, Stacy Ann Marie is an individual health care provider with primary practice located at 1334 Valentine St , Melbourne FL 32901-3128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Davis, Stacy Ann Marie can be contacted via phone (321) 676-1870.

Contact Information

Primary practice address
1334 Valentine St Melbourne FL 32901-3128
Phone: (321) 676-1870
Fax: (321) 768-2172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME105521 Florida

Profile Details

NPI number 1457551657
LBN Legal business name Davis, Stacy Ann Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Mar 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457551657 NPPES
Florida Other 1082606 CAREPLUS
Florida Other 149KA CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida Other PRO11849 CAREPLUS
Florida Other 3666528 CAREPLUS
Florida Other 3666528 CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida Other 6573631 CAREPLUS
Florida Other 581795 CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida Other 9787626 CAREPLUS
Florida Other 0000000 CAREPLUS
Florida Other 59-3169815 CAREPLUS
Florida MEDICAID 003136400 CAREPLUS

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